Individual
DR. MEHRDAD FAVAGEHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
313 PARK AVE, SUITE 103, FALLS CHURCH, VA 22046-3327
(703) 237-3700
(703) 237-3621
Mailing address
313 PARK AVE, SUITE 103, FALLS CHURCH, VA 22046-3327
(703) 237-3700
(703) 237-3621
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401008236
VA
1223P0300X
Periodontics
0401008236
VA
Other
Enumeration date
01/17/2007
Last updated
09/11/2025
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